SHAD D BEATY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

SHAD

Middle

Last Name

BEATY

Suffix

Business Name

SHAD D BEATY MD

Original Issue Date

02/20/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023